This is a simple PPT which will help you to understand and study about school oral health development and programs. This also include some MCQs at the end which will help you to test yourself and boost your confidence about your capabilities. This also helps you to read the topic in a cut short method. This is a simple PPT which will help you to understand and study about school oral health development and programs. This also include some MCQs at the end which will help you to test yourself and boost your confidence about your capabilities. This also helps you to read the topic in a cut short method. This is a simple PPT which will help you to understand and study about school oral health development and programs. This also include some MCQs at the end which will help you to test yourself and boost your confidence about your capabilities. This also helps you to read the topic in a cut short method. Contents: Introduction Definition Aspects of school health programs Objectives Ideal requirements Advantages Elements/components Some school oral health programs WHO’s global school health initiative Incremental care Comprehensive care Conclusion

1. SCHOOL DENTAL HEALTH
PROGRAM
PRESENTED BY
Dr. J JOCELIN RENEETA

2. CONTENTS
Introduction
Definition
Aspects of school health programs
Objectives
Ideal requirements
Advantages
Elements/components
Some school oral health programs
WHO’s global school health initiative
Incremental care
Comprehensive care
Conclusion

3. INTRODUCTION
School health is an important aspect of any community health
program. It is an economical and powerful means of raising community
health in future generations.
Towards the end of 19th century William Fisher, a dentist of England
was so concerned by the high caries experience and lack of treatment in
the child population that he devoted much time for campaigning for
compulsory inspection and treatment of children in schools.
The beginning of School Health Service in India dates back to 1909, in
Baroda city.
In 1953 the Secondary Education Committee emphasized the need for
school nutrition programs.

4. INTRODUCTION
In 1960, the government of India constituted a School Health Committee,
and submitted its report in 1961.
The “Tokyo Declaration” was made on July 19th ,2001 at 1st Asian
Conference on Oral Health Promotion for School Children, Tokyo.
The “Ayutthaya Declaration” was made on February 23rd , 2003 at the 2nd
Asian Conference of Oral Health Promotion for School Children held in
Ayutthaya , Thailand.
The “ Bangalore Declaration” was made on January 28th , 2005 at the WHO
workshop on prevention and promotion of oral health through schools held
at Bangalore.

5. DEFINITION
School Health Services are defined as the “procedures
established
a) to appraise the health status of pupils and school personnel
b) to counsel pupils, parents, and others concerning appraisal
findings
c) to encourage the correction of remediable defects
d) to assist in the identification and education of handicapped
children
e) to help prevent and control disease and
f) to provide emergency service for injury or sudden sickness”.

6. ASPECTS OF SCHOOL HEALTH
SERVICES
 Health appraisal
Health counselling
Emergency care and first aid
School health education in which it should cover
a) personal hygiene b) environmental health c) family life
Maintenance of school health records
Curative services

7. OBJECTIVES
To help every school child appreciate the importance of
a healthy mouth.
To help every school child appreciate the relationship of
dental health to general health and appearance.
To encourage the observance of dental health practices,
including personal care, professional care, proper diet,
and oral habits.
To correlate dental health activities with total school
health program.
To stimulate dentists to perform adequate health
services for children.

8. IDEAL REQUIREMENTS
 A school oral health program should
1. Be administratively sound
2. Be available to all children
3. Provide the facts about dentistry and dental care, especially about
self-care preventive procedure
4. Aid in the development of favorable attitudes toward dental
health.
5. Provide screening methods for the early identification and referral
of pathology.

9. ADVANTAGES
 can bring comprehensive dental care including preventive measures to school
children where they are gathered anyway for non dental reasons in the largest
possible numbers .
 from childhood to adolescence.
 less threatening than private cleaning offices since the children are in familiar
surroundings.
 will be relatively easy to maintain their dental health in adult life.
Utilizing dental auxiliaries can further reduce the cost.
A regular dental attendance pattern in early life will be continued after school age.
If parents have to escort children to a private dental office, he/she will lose income for
that day.

10. ELEMENTS/ COMPONENTS
1. Improving school-community relations
2. Conducting dental inspections
3. Conducting dental health education
4. Performing specific programs
5. Referral for dental care
6. Follow-up

11. ELEMENTS/ COMPONENTS
I. Improving school-community relations:
One of the first steps in organizing a dental health program is the
formation of an advisory committee. The task of these committee is
1. To appraise and publicize the dental needs of the school children.
2. To address the school administration’s concern in the promotion of
oral health.
3.To make people realize the importance of dental health.
II. Conducting dental inspections:
In a situation where the extent of dental diseases among school
children is found to be 95% or more, a program of dental inspection
becomes necessary.

12. ELEMENTS/ COMPONENTS
 A few are of opinion that it would be a waste of money, manpower, material
and time to examine for a disease which occurs almost universally and which
demands treatment.
 The other sections are in favor of dental inspections.
 Benefits of school dental inspections:
 It serves as a basis for school dental health education.
 It builds a positive attitude in the child toward the dentist and dental care.
The child and the parent are motivated to seek adequate professional care.
Teachers, students, and dentists concerned with dental health may use the
dental inspection as a fact finding experience.
Baseline and cumulative data for evaluation of the school dental health
program are made available.

13. ELEMENTS/ COMPONENTS
III. Conducting dental health education:
A school dental health program should include a suggested formal
approach to teaching health in the classroom.
The dentist serves as the expert resource person to strengthen the
teacher’s classroom program. He should give each teacher sincere
attention.
This is important in developing proper attitudes and personal dental
health practices by the teacher which can be passed on to the
classroom.

14. ELEMENTS/ COMPONENTS
IV. Performing specific programs:
A) Tooth brushing programs
B) Classroom based fluoride programs:
1. Fluoride ‘ mouth- rinse’ program
2. Fluoride tablet program
C) School water fluoridation programs
D) Nutrition as a part of school preventive dentistry programs
E) Sealant placement
F) Science fairs

15. ELEMENTS/ COMPONENTS
V. Referral for dental care:
• In a few schools dental care is provided at the school itself.
• However if only emergency treatment is provided, e.g.: If the
dental auxiliary places eugenol –soaked cotton in a child’s cavity
to relieve the pain, the parent doesn’t see the child in pain and
might conclude that the school has taken care of the dental
program.
• Therefore the parent should be informed and made to
understand that such emergency treatment is not a cure and she
will have to visit the dentist of her choice for proper dental
treatment.

16. ELEMENTS/ COMPONENTS
 Blanket referral:
 In this program all children are given referral card to take home and
subsequently give the card to the dentist who will sign the cards on the
completion of examination, treatment, or both.
The signed card are then returned to the school nurse or classroom teacher
who play an important role in follow up with the child and the parents.

17. ELEMENTS/ COMPONENTS
VI. Follow-up:
The mere issuance of referral slips to children will be of little value if steps
are not taken to make it clear that the school is interested in defect
correction.
This needs a good follow up system.
The dental hygienist is the logical person to conduct such follow up
examinations.
Leave concessions from school for dental treatment are strongly
recommended.
That is children should be excused to keep office appointments with the
physician or dentist during school hours.

18. SOME SCHOOL ORAL HEALTH PROGRAMS
1. “LEARNING ABOUT YOUR ORAL HEALTH” – A PREVENTION
ORIENTED SCHOOL PROGRAM.
This program was developed by the “American Dental Association” (ADA)
and their consultants in1971.
The primary goal of this program is to develop the knowledge, skills and
attitudes needed for prevention of dental diseases among school children.
The program is divided into 5 levels:
Level I – Kindergarten through grade 3
Level II – grade 4 through 6
Level III – grade 7 through 9
Level IV – grade 10 through 12
 The core material for level V is self contained in a teaching packet that
allows the classroom teacher to adapt the presentation to the needs of the
students.

19. SOME SCHOOL ORAL HEALTH PROGRAMS
2. “TATTLETOOTH PROGRAM”- TEXAS STATEWIDE PREVENTIVE
DENTISTRY PROGRAM.
 The Tattletooth program was developed in1974-1976 as a cooperative effort
between Texas Dental health professional organizations, the Texas Education
Agency .
In 1989, the Bureau of dental health developed a new program to replace the
existing Tattletooth Program II.
The program embraces the six elements of effective lesson design;
1. Anticipatory set 4. Checking for understanding
2. Setting the objective 5. Guided practice
3.Input modeling 6. Independent practice

20. SOME SCHOOL ORAL HEALTH PROGRAM
Program evaluation:
The students in the grades 3,5,7,9 and 11 were given the Texas
Assessment of Academic Skills by the Texas Education agency to satisfy
the legislative requirement that students performances be assessed.
Teacher evaluation is done annually by principals and supervisors using
65 item checklist.
Results - Dental knowledge - Plaque levels by 15% - Over 80%
teachers judged the program to be helpful and effectful.

21. SOME SCHOOL ORAL HEALTH PROGRAM
3. ASKOV DENTAL DEMONSTRATION
 Askov is a small farming community with a population mostly of Danish extraction. It
showed very high dental caries in the initial surveys made in 1943 & 1946.
All recognized methods for preventing dental caries were used in the demonstration with
the exception of communal water fluoridation since until 1955 Askov had no communal
water supply.
Dental care was rendered by a group of give dentists from nearby communities employed
by the Minnesota Department Of Health. These dentists gave topical fluoride treatments.
The program had many intangible benefits such as good health and dietary habits for the
children to carry on to adult life.
Results : * 28% in dental caries in primary teeth (age 3 to 5)
* 34% caries in permanent teeth (age 6 to 12)
* 14% caries in permanent teeth (age 13 to 17)

22. SOME SCHOOL ORAL HEALTH PROGRAM
4. NORTH CAROLINA STATEWIDE PREVENTIVE DENTAL HEALTH PROGRAM:
In 1970 the North Carolina dental society passed resolution advocating a strong
preventive dental disease program embracing school and community fluoridation, fluoride
treatments for school children, plaque control education in school and communities.
This program is unique i.e. it is designed to reach several segments of population
In 1990 the services provided through this program included
- fluoridation of water supplies of 130 rural schools
- weekly fluoride rinse for more than 416,000 students in 1051 schools
- screening and referral and dental health education presented to 361,000 students
Results: *34% in D , M ,F , permanent teeth among children(drinking F water for 8
yrs)
*53% in D , M ,F , permanent teeth among children(drinking F water for 10
yrs)

23. SOME SCHOOL ORAL HEALTH PROGRAM
5. SCHOOL HEALTH ADDITIONAL REFFERAL
PROGRAMME(SHARP):
Instituted in Philadelphia – purpose of motivating parents into
initiating action for correction of defects in their children through
effective utilisation of community resources.
Carried out by district nurses with the cooperation of school
personnel.
The nurses made daytime visits to families in which the mother is at
home.
The one to one basis of health guidance between parent and health
worker established better rapport between parent and home.

24. SOME SCHOOL ORAL HEALTH PROGRAMS
 6. TEENAGE HEALTH EDUCATION TEACHING ASSISTANTS
PROGRAM ( THETA PROGRAM)
 Developed by the National Foundation for the prevention of oral disease for
the US department of Health and Welfare, Division Of dental health.
Philosophy:
Dental personnel train high school children to teach preventive dentistry to
elementary school children.
Goals:
To give knowledge & skills to young children.
Allows high school children to develop understanding of young children
Introduce them to career opportunities.

25. SOME SCHOOL ORAL HEALTH PROGRAMS
6. COLGATE’S BRIGHT SMILES, BRIGHT FUTURES:
“The Colgate bright smiles, bright futures” oral health educational program
worldwide was developed to teach children positive oral health habits of basic
hygiene, diet and physical activity.
This program also encourages dental professionals, public health officials, most
importantly parents and educators to come together to emphasize the
importance of oral health as part of a child’s overall physical and emotional
development.
Under this program, children in primary schools receive instructions in dental
care from members of the dental professionals nominated by IDA. Education is
impaired with the aid of audio visual and printed literature.
Free dental health care packs are distributed to encourage good oral hygiene.

26. WHO’S GLOBAL SCHOOL HEALTH
INITIATIVE
WHO’s Global school health initiative, launched in1995, seek to mobilize and
strengthen health promotion and education activities at the local, national,
regional and global levels.
The initiative is designed to improve the health of students, school petsonnel,
families and other members of the community through schools.
Strategies: 1. Research to improve school health programs.
2. Building capacity to advocate for improved school health
programs.
3. Strengthening national capacities.
4.Creating network and alliances for the development of health
promoting schools.

27. INCREMENTAL CARE
Incremental Care may be defined as “periodic Care so spaced that increments of
dental diseases are treated at the earliest time consistent with proper diagnosis
and operating efficiency, in such a way that there is no accumulation of dental
needs beyond the minimum”.
In private practice 6 months is the commonest, though not the only interval
between visits. In public health programs, one year interval are usually
implemented.
ADVANTAGES:
Lesions of dental caries are treated before there has been a chance for pulpal
involvement.
Periodontal disease is intercepted at or near the beginning.

28. INCREMENTAL CARE
Topical and other preventive measures are maintained on a periodic basis.
Bills for dental services are equalized and regularly spaced.
The program avoids the high expenditure of late dental care.
Confines dental diseases to small early increments, thus reducing loss of teeth.
DISADVANTAGES:
Time consuming
Attention to deciduous teeth
Increasing likelihood of interruption in children’s dental health programs

29. COMPREHENSIVE CARE
Comprehensive dental care is the meeting of accumulated dental
needs at the time a population group is taken into the program
(initial care) and the detection and correction of new increments of
dental disease on a semiannual or other periodic basis (maintenance
care).
Preventive measures aimed to minimize disease are a part of
comprehensive dental care.
Service are provided not only to eliminate pain and infection but also
to :

30. COMPREHENSIVE CARE
1. Restore serviceable teeth to good functional form,
2. Replacing missing teeth,
3. Provide maintenance Care for the control of early lesions of
dental disease
4. Provide preventive measures, educational and otherwise, so
that the population may experience a lower prevalence of
disease.
• Dental care from WOMB to TOMB, this is comprehensive dental
care in the true sense.

31. CONCLUSION
A school oral health program should not impose an excess or
unusual teaching burden on the teachers, it should be cost effective in
manpower, money and material and it should produce observable
results. Since children are often the most important victims of dental
health of the school children are of great importance in promoting oral
health of the community.

32. MCQ
PICK THE ODD ONE OUT:
1. School health services are the procedures established to ,
A. Appraise the health status of pupils and school personnel
B. To counsel pupils, parents, and other concerning appraisal findings
C. To find the ratio between incidence of disease among exposed and non exposed person
D. To provide emergency services for injury and sudden sickness

33. • Answer : C
Refer SOBEN PETER

34. MCQ
2. In Fluoride tablet program one tablet consists of how much NaF
A. 2.2 mg
B. 1.5 mg
C. 20 mg
D. 1 mg

35. • ANSWER: A
Refer SOBEN PETER

36. MCQ
Pick the odd one out
3. In ASKOV dental demonstration oral health program the methods used for
preventing dental caries are
A. Dental health education
B. Fluoride mouth rinse
C. Communal water fluoridation
D. Tooth brushing programs

37. • ANSWER : C
Refer SOBEN PETER

38. MCQ
• 4. THETA program was established to prevent the oral diseases by
A. By training dental professionals to teach preventive dentistry to the students
B. By training high school children to teach preventive dentistry to elementary students
C. By training teachers to teach about oral health to students
D. By doing oral health awareness programs.

39. • ANSWER : B
Refer SOBEN PETER

40. MCQ
• 5. Dental care from WOM to TOMB is called as,
A. Preventive dental care
B. Incremental care
C. Consistent dental care
D. Comprehensive care

41. • ANSWER : D
• Refer SOBEN PETER